Month: February 2021

‘Incident To’ Services
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‘Incident To’ Services

February 4, 2021 Question: One of our physician assistants’ saw one of our established Medicare in the emergency room for increasing pain in the area being treated by the physician. The physician assistant made no changes to the plan of care established by the physician. Our physician assistant submitted this as an incident to service...

Excision of Rheumatoid Nodules
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Excision of Rheumatoid Nodules

February 4, 2021 Question: I excised a rheumatoid nodule on both the left and right elbow.  What CPT code do I report? Answer: You would report CPT code 24120 (excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process).  You can report this procedure when performed bilaterally....

Separate Procedure Billing
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Separate Procedure Billing

February 4, 2021 Question: The surgeon performed an open colectomy and found a tear in the mesentery close to the incision, 44850 Suture of mesentery is listed as a “separate procedure”, does that mean we can bill for it separately in addition to the colectomy? Answer: No, codes designated as a “separate procedure” are intended...

New 2021 E/M Coding Guidelines
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New 2021 E/M Coding Guidelines

February 4, 2021 Question: In the new guidelines, how does Time affect billing for a teaching physician’s E/M service when the resident spends a great deal of time with the patient? Answer: Good question!  Only the time of teaching physician would “count” in the scenario you describe.  The new guidelines say that the time of...

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